A patient who has a below-the-elbow prosthesis shows the home health care nurse the residual limb, which is red, edematous, and warm to the touch. What should the nurse instruct this patient to do?

a. Apply soothing lotion to the residual limb before replacing the prosthesis.
b. Dampen the prosthetic limb sock to hy-drate and cool the residual limb.
c. Pad the socket with lamb's wool and re-place the prosthesis.
d. Leave the prosthesis off and notify physi-cian.


D
An inflamed residual limb suggests an infection. The prosthesis should be removed, the limb should be gently cleansed with soap and water, and the physician should be notified.

Nursing

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A registered nurse (RN) and nursing student are caring for a client who is receiving pain medication via patient-controlled analgesia (PCA). What action by the student requires the RN to intervene?

a. Assesses the client's pain level per agency policy b. Monitors the client's respiratory rate and sedation c. Presses the button when the client cannot reach it d. Reinforces client teaching about using the PCA pump

Nursing

An elderly patient leaves the home for several hours most days of the week and attends a facility where care is provided specific to the needs of the elderly. The patient is attending which type of community-based nursing care program?

1. Adult day care 2. Health care clinic 3. Residential care facility 4. Outpatient center

Nursing

The nurse is preparing information to be included in a community educational presentation regarding gastroesophageal reflux disease (GERD)

Which information should be included? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. A substantial number of people self-medicate with OTC medications. 2. GERD is more prevalent in adults over the age of 50. 3. Vomiting is a common sign of the disease. 4. A recurring sore throat may be a symptom of the disease. 5. Control of the symptoms is dependent on a change of diet.

Nursing

For a nurse manager in the functional nursing model, an approach that will assist in maintaining staff satisfaction in this specific model is:

a. Rotation of task assignments. b. Frequent opportunities for in-service education. c. Orientation to job responsibilities and performance expectations. d. Team social events in off hours.

Nursing